The ADHD Weekly Blog from ADHD Experts
- An international group of twelve experts recently published a consensus report examining the state of the evidence and offering recommendations to guide screening, diagnosis, and treatment of individuals with ADHD-SUD comorbidity.1 In a clear sign that we are still in the early stages of understanding this relationship, five of the thirteen recommendations received the lowest recommendation grade (D), eight received the next-lowest (C), and none received the highest (A and B). The Read moreA Dutch study compared the efficacy of mindfulness-based cognitive therapy (MBCT) combined with treatment as usual (TAU), with TAU-only as the control group. MBCT consisted of an eight-week group therapy consisting of mindfulness exercises (bodyscan, sitting meditation, mindful movement), psychoeducation about ADHD, and group exercises. TAU consisted of usual treatment in the Netherlands, including medications and other psychological treatment. Sixty individuals were randomly assigned to Read moreThough there have been numerous studies of the efficacy of cognitive behavioral therapy (CBT) for ADHD symptoms in children, adolescents, and adults, few have examined efficacy among adults over 50. A new study begins to fill that void. Psychiatric researchers from the New York University School of Medicine, Massachusetts General Hospital, and Pfizer randomly assigned 88 adults diagnosed with elevated levels of ADHD to one of two groups. The first group received 12 weeks of CBT targeting Read moreA recent CNN report, http://tinyurl.com/yannlfd6, highlighted a paper published in Pediatrics, which reported that pregnant women who use acetaminophen during pregnancy put their unborn child at two-fold increased risk for attention deficit hyperactivity disorder (ADHD). In that study, acetaminophen use during pregnancy was common; nearly half of women surveyed used the painkiller during a pregnancy. Other studies have reported similar associations of acetaminophen, Read more
The Familial Relationship Between Attention Deficit Hyperactivity Disorder and Substance Use Disorders
by Amy Yule, MD -While it has been well documented that attention deficit hyperactivity disorder (ADHD) and substance use disorders (SUD) commonly co-occur, little is known about the reasons for this association. Since both disorders are highly heritable one hypothesis is the high co-occurrence may be due to common genes. One way to assess for a genetic relationship between ADHD and SUD is through a familial risk analysis. Familial risk analysis compares the prevalence of an Read moreIn the popular media, ADHD is sometimes portrayed as a minor condition or not a disorder at all. In fact, it is easy to find web sites claiming that ADHD is an invention of the medical profession and that the symptoms used to diagnose the disorder are simply normal behaviors that have been “medicalized”. These claims are wrong. They miss the main point of any psychiatric diagnostic process which is to identify people who experience distress or Read moreIf you’ve ever wondered how experts make treatment recommendations for patients with ADHD, take a look at this ADHD treatment decision tree that my colleagues and I constructed for our “Primer” about ADHD, http://rdcu.be/gYyV. Although a picture is worth a thousand words, keep in mind that this infographic only gives the bare bones of a complex process. That said, it is telling that one of the first questions an expert asks is if the patient has a comorbid condition that is more Read moreIf you’ve ever wondered how experts make treatment recommendations for patients with ADHD, take a look at this ADHD treatment decision tree that my colleagues and I constructed for our “Primer” about ADHD, http://rdcu.be/gYyV. Although a picture is worth a thousand words, keep in mind that this infographic only gives the bare bones of a complex process. That said, it is telling that one of the first questions an expert asks is if the patient has a comorbid Read moreThe diagnosis of ADHD should only be done by a licensed clinician and that clinician should have one goal in mind: to plan a safe and effective course of evidenced-based treatment. The infographic below gives a summary of this diagnostic approach over time, which my colleagues and I prepared for our “Primer” about ADHD, referenced below. . A key point that parents of ADHD youth and adults with ADHD should keep in mind is that there is only one way to diagnose ADHD. An expert Read moreAlthough ADHD was conceived as a childhood disorder, we now know that many cases persist into adulthood. My colleagues and I charted the progression of ADHD through childhood, adolescence and adulthood in our “Primer” about ADHD, http://rdcu.be/gYyV. Although the lifetime course of ADHD varies among adults with the disorder, there are many consistent themes, which we described in the accompanying infographic. Most cases of ADHD start in utero, Read more
Regular ADHD Bloggers
- Guidelines for Screening, Diagnosing, and Managing ADHD in Children with Epilepsy
- How Can Women Best Manage ADHD During Pregnancy to Minimize Risk to their Babies?
- Immediate and Longer-Term Effects of Exercise on ADHD Symptoms and Cognition
- How Reliable are Subjective Estimates of ADHD Medication Adherence?
- Associations Between ADHD and Autoimmune Diseases
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